Individual
SHANNON G ORTEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNP
Contact information
Practice address
3232 N NORTH HILLS BLVD., FAYETTEVILLE, AR 72703-4005
(479) 587-1700
(479) 587-1366
Mailing address
3232 N NORTH HILLS BLVD., FAYETTEVILLE, AR 72703-4005
(479) 587-1700
(479) 587-1366
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
Primary
P00296
AR
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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